Doctor profile · Federal record
Dr. Mary Ellen Evolo, D.M.D.
General Practice Dentistry · New York, NY
- NPI 1669594644
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
230 Park Ave Rm 1164
New York, NY 101691164
(212) 682-8306
fax (212) 697-3005
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- New York #048919
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669594644. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$35
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| COLGATE ORAL PHARMACEUTICALS, INC. | 2 | $34.96 |
By nature of payment
Frequently asked questions
What is Dr. Mary Ellen Evolo's medical specialty?
Dr. Mary Ellen Evolo practices General Practice Dentistry in New York, NY.
Where does Dr. Mary Ellen Evolo practice?
Dr. Mary Ellen Evolo practices at 230 Park Ave Rm 1164, New York, NY 101691164. Office phone: 2126828306.
What is Dr. Mary Ellen Evolo's NPI?
Dr. Mary Ellen Evolo's National Provider Identifier (NPI) is 1669594644, issued by NPPES.